Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.04 / $1,544.00 / $7,175.00	Facility		$236.04	$1,544.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $201.22 / $303.02	Professional		$141.81	$201.22	$303.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $83.68 / $206.06	Professional		$83.68	$83.68	$206.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $223.51 / $371.25	Professional		$215.38	$223.51	$371.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $442.59 / $2,760.00	Facility		$239.35	$442.59	$2,760.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $228.94 / $393.06	Professional		$151.57	$228.94	$393.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $346.84 / $346.84 / $346.84	Facility		$346.84	$346.84	$346.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $347.14 / $443.54	Professional		$261.66	$347.14	$443.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $646.21 / $680.22 / $3,125.56	Facility		$646.21	$680.22	$3,125.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.58 / $227.20 / $294.89	Professional		$212.58	$227.20	$294.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,070.00 / $7,197.00	Facility		$536.00	$2,070.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $211.88 / $532.96	Professional		$142.77	$211.88	$532.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $219.30 / $219.30 / $219.30	Facility		$219.30	$219.30	$219.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $256.10 / $589.50	Professional		$5.00	$256.10	$589.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $231.79 / $491.00 / $3,025.00	Facility		$231.79	$491.00	$3,025.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $230.91 / $393.06	Professional		$152.16	$230.91	$393.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $146.99 / $174.05 / $238.70	Facility		$146.99	$174.05	$238.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $205.61 / $225.30	Professional		$146.24	$205.61	$225.30
United Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,106.00 / $3,742.00	Facility		$316.00	$1,106.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $242.42 / $394.76	Professional		$185.35	$242.42	$394.76